Main Article Content
Abstract
Insomnia is a prevalent comorbidity among middle-aged individuals with hypertension. Dhikr relaxation, an Islamic spirituality-based intervention, has been proposed as a non-pharmacological approach to improve sleep quality. This study aimed to examine the effectiveness of dhikr relaxation therapy in reducing insomnia among middle-aged hypertensive patients. The study involved 18 participants aged 40–59 years diagnosed with stage 2 hypertension. Participants were randomly assigned to either an experimental group (n = 9) that received dhikr relaxation therapy or a control group (n = 9) that received no treatment. Insomnia was measured using the Athens Insomnia Scale (AIS) at the posttest and the two-week follow-up. Data were analyzed using paired t-tests and the Mann-Whitney U test, based on assumptions of normality and homogeneity. The results showed no statistically significant difference in insomnia scores between the experimental and control groups at both posttest and follow-up (p > 0.05). Additionally, there was no significant within-group change in insomnia scores over time. Dhikr relaxation therapy did not demonstrate effectiveness in reducing insomnia among middle-aged hypertensive patients. Potential confounding factors such as gender imbalance and participant background may have affected the results. Further studies with larger, more diverse samples and refined methodology are recommended.
Keywords
Article Details

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Authors who publish with INSPIRA: Indonesian Journal of Psychological Research agree to the following terms:
- Authors retain copyright licensed under a Creative Commons Attribution-NonCommercial CC BY-NC 4.0, which allows others to remix, tweak, and build upon the authors' work non-commercially, and although the others' new works must also acknowledge the authors and be non-commercial, they do not have to license their derivative works on the same terms.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access). In other words, authors can archive pre-print (submitted version), post-print (accepted version), and publisher's version/PDF.
References
- Alfi, W.N. & Yuliwar, R. (2018). The Relationship Between Quality of Sleep with Blood Pressure of Hypertension Patient in Mojolangu PHC Malang. Jurnal Berkala Epidemiologi, 6(1), 25-36. https://doi.org/10.20473/jbe.V6I12018.18-26
- Brewster, G. S., B. Riegel, & Gehrman P. R. (2018). Insomnia in the older adult. Sleep Medicine Clinics, 13(1), 13–19. https://doi.org/10.1016/j.jsmc.2017.09.002
- Cahyaningtias, Y., Amal, A.I., & Suyanto, S. (2021). Terapi Kombinasi Dzikir dan Relaksasi Otot Progresif terhadap Tingkat Insomnia pada Lansia. Journal of Holistic Nursing Science, 8(1), 1-8. https://doi.org/10.31603/nursing.v8i1.3813
- Crowther, M. E., Saunders, W. J., Sletten, T. L., Drummond, S. P. A., & Bei, B. (2023). Tailoring cognitive behavioural therapy for insomnia across contexts, conditions, and individuals: What do we know, where do we go?. Journal of Sleep Research, 32(6), e14023. https://doi.org/10.1111/jsr.14023
- Del Brutto, O.H., Mera, R.M., Rumbea, D.A., Sedler, M.J., & Castillo, P.R. (2023). Poor sleep quality increases mortality risk: A population-based longitudinal prospective study in community-dwelling middle-aged and older adults. Sleep Health, online 25 November 2023. https://doi.org/10.1016/j.sleh.2023.10.009.
- Durak, M., Senol-Durak, E. & Karakose, S. (2022). Psychological distress and anxiety among housewives: The mediational role of perceived stress, loneliness, and housewife burnout. Current Psychology, 42, 14517–14528. http://doi.org/ 10.1007/s12144-021-02636-0
- Fitriani, A., Arief, F., & Shahib, N. (2021). Scoping Review: Pengaruh Terapi Dzikir Terhadap Tingkat Insomnia pada Lansia. Prosiding Pendidikan Dokter Spesia, 7(1), 367-374. http://dx.doi.org/10.29313/kedokteran.v7i1.26635 367
- Fox, J., Weisberg, S., Price, B., Adler, D., Bates, D., Baud-Bovy, G., Bolker, B., Ellison, S., Firth, D., Friendly, M., Gorjanc, G., Graves, S., Heiberger, R., Krivitsky, P., Laboissiere, R., Maechler, M., Monette, G., Murdoch, D., Nilsson, H., Ogle, D., Ripley, B., Short, T., Venables, W., Walker, S., Winsemius, D., Zeileis, A., & R-Core. (2023). car: Companion to applied regression. Â https://CRAN.R-project.org/package=car
- Hastjarjo, T.D. (2011). Validitas eksperimen. Buletin Psikologi, 19(2), 70-80.
- Hurlock E. (2010). Psikologi Perkembangan: Suatu Pendekatan Sepanjang Rentang Hidup. Erlangga
- Ibrahim, A.A. (2018). Kitab Rahasia Tidur. (Terjemahan M. Abidun & Masturi Irham). Khazanah Pustaka Islam.
- Ilyas, S. (2016). Tekanan Darah Tinggi (Hipertensi). Retrieved from Kemkes.go.id: https://p2ptm.kemkes.go.id/uploads/2016/10/Tekanan-Darah-Tinggi-Hipertensi.pdf
- Insomnia: Assessment and management in primary care. (1999). National Heart, Lung, and Blood Institute Working Group on Insomnia. Am Fam Physician, 59, 11, 3029–38.
- Johnson, E.O, Roth . & Schultz L. (2006). Breslau N. Epidemiology of DSM-IV insomnia in adolescence: lifetime prevalence, chronicity, and an emergent gender difference. Pediatrics, 117(2), e247-56. https://doi.org/doi:10.1542/peds.2004-2629.
- Kaplan, V. (2022). Mental health states of housewives: an evaluation in terms of self-perception and codependency. International Journal of Mental Health and Addiction, 21, 666 - 683. http://doi.org/10.1007/s11469-22-000910-1
- Kassambara, A. (2023). ggpubr: 'ggplot2' Based publication ready plots. Â https://CRAN.R-project.org/package=ggpubr
- Kim, W.J., Joo, W.T., Baek J., Sohn, S.Y., Namkoong, K., Youm, Y., Kim, H.C., Park, Y-R, Chu, S.H., & Lee, E. (2017). Factors associated with insomnia among the elderly in a Korean rural community. Psychiatry Investig, 14(4), 400-406. http://doi.org/10.4306/pi.2017.14.4.400
- Li, W., Gu, H, Teo, K.K., Bo, J., Wang, Y., Yang, J., Wang, X, Zhang, H., Sun, Y., Jia, X., He, X., Zhao, X., Cheng, X., Li, J., Rangarajan, S., Chen, C., Yusuf, S., & Liu, L. (2016). PURE China Investigators. Hypertension prevalence, awareness, treatment, and control in 115 rural and urban communities involving 47 000 people from China. J Hypertens, 34(1), 39-46. https://doi.org/10.1097/HJH.0000000000000745.
- Lin, S., Longobardi, C., Gastaldi, F. G. M., & Fabris, M. A. (2024). Social Media Addiction and Aggressive Behaviors in Early Adolescents: The Mediating Role of Nighttime Social Media Use and Sleep Quality. The Journal of Early Adolescence, 44(1), 41-58. https://doi.org/10.1177/02724316231160142
- Liu D, Yu C, Huang K, Thomas S, Yang W, Liu S, & Kuang J. (2022). The Association between hypertension and insomnia: a bidirectional meta-analysis of prospective cohort studies. Int J Hypertens, 29(4), 1-11. https://doi.org/doi: 10.1155/2022/4476905
- Morin, C.M., Bootzin, R.R., Buysse, D.J., Edinger, J.D., Espie, C.A., & Lichstein, K.L. (2006). Psychological And Behavioral Treatment of Insomnia: Update of The Recent Evidence (1998–2004). Sleep, 29(11), 1398–1414, https://doi.org/10.1093/sleep/29.11.1398
- Nashori, F. (2004). Hubungan antara Kualtas Tidur dengan Kendali Diri Mahasiswa. Jurnal Fenomena, 2(2), 127-137.
- Nashori, F. (2004). Peranan Kualitas Tidur terhadap Prestasi Belajar Mahasiswa. Insan, 6(3), 159-172.
- Nashori, H.F. & Wulandari, E.D. (2017). Psikologi tidur (Psychology of sleep). Universitas Islam Indonesia.
- Nashori, F., Diana, R.R., & Hidayat, B. (2019). The Trends in Islamic Psychology in Indonesia. In Ralph W. Hood Jr. & Sariya Cheruvallil-Contractor (Eds.), Research in the Social Scientific Study of Religion (page 162-180). Brill. https://doi.org/10.1163/9789004416987_010
- Nashori, Hidayat, B., Lukman, L., Putra, A.A., Kusprayogi, Y., Diana, R.R. (2020). Decreasing Insomnia among College Students with Dyspepsia Gastritis: The Role of Islamic-Cognitive Behavioral Therapy. Talent Development & Excellence, 12(1), 4436-4451
- Nashori, F., Nugraha, S.P., & Wulandari, E.D. (2019). Insomnia-cognitive behavior therapy to improve the subjective well-being of university students. Psychology and Education an Interdisciplinary Journal,56(2), 10-18. https://www.psychologyandeducation.net/pae/insomnia-cognitive-behavior- therapy-improve-subjective-well-university-students-fuad-nashori-sumedi-p- nugraha-etik-dwi-wulandari/
- National Heart, Lung and Blood Institute Working Group on Insomnia. (1999). Insomnia: Assessment and management in primary care. Am Fam Physician, 59(11), 3029-38.
- Nilifda, H., Nadjmir, N., & Hardisman, H. (2016). Hubungan Kualitas Tidur dengan Prestasi Akademik Mahasiswa Program Studi Pendidikan Dokter Angkatan 2010 FK Universitas Andalas. Jurnal Kesehatan Andalas, 5(1), 243-249. DOI:Â https://doi.org/10.25077/jka.v5i1.477
- Palagini, L., Manni, R., Liguori, C. et al. (2024). Evaluation and management of insomnia in the clinical practice in Italy: a 2023 update from the insomnia expert consensus group. J Neurol, 271(4), 1668–1679. https://doi.org/10.1007/s00415-023-12112-3
- Patel, D., Steinberg, J. & Patel, P. (2018). Insomnia in the elderly: A.Review. Insomnia Diagnosis Treat. 14(6):224-234. http://doi.org/10.5664/jcsm.7172
- Patil, I., & Powell, C. (2024). ggstatsplot: 'ggplot2' based plots with statistical details. https://cran.r-project.org/web/packages/ggstatsplot/index.html
- Pedersen, T. L. (2024). patchwork: The composer of plots. https://CRAN.R-project.org/package=patchworkÂ
- Purwanto, S., Ahmad, M., Said, Z., Anganthi, N. R. N., & Zulaekah, S. (2023). Effect of Mindfulness Dhikr Breathing Therapy for Insomniacs on Quality of Life: A Randomized Controlled Trial. Islamic Guidance and Counseling Journal, 6(2). https://doi.org/10.25217/0020236368800
- Riset Kesehatan Dasar (Riskesdas) (2018). Badan Penelitian dan Pengembangan Kesehatan Kementerian RI tahun 2018. http://www.depkes.go.id/resources/download/infoterkini/materi_rakorpop_20 18/Hasil%20Riskesdas%202018.pdf – Diakses Agustus 2018. (Diakses 6 Februari 2024)
- Ruidahasi, T. D., Kartikasari, M., & Nashori, H. F. (2022). Validasi Modul Terapi Zikir Istigfar untuk Meningkatkan Resiliensi dan Menurunkan Gejala Gangguan Stres Pascatrauma pada Orang Dewasa. Jurnal EMPATI, 10(5), 368-379. https://doi.org/10.14710/empati.2021.32940
- Ryu, C. (2024). dlookr: Tools for data diagnosis, exploration, transformation. https://CRAN.R-project.org/package=dlookr
- Sakinah, P.R., Kosasih, C.E., & Sari, E.A. (2018). Gambaran Kualitas Tidur pada Penderita Hipertensi: Quality of Sleep among Hipertention Patients. Media Kesehatan Politeknik Kesehatan Makassar, 13(2), 46-52. DOI: https://doi.org/10.32382/medkes.v13i2.663
- Shadish, W. R., Cook, T. D., & Campbell, D. T. (2002). Experimental And Quasi Experimental Designs For Generalized Causal Inference. Houghton Mifflin
- Sharma, M.P. & Andrade, C. (2012). Behavioral interventions for insomnia: Theory and practice. Indian J Psychiatry, 54(4), 359–366. https://doi.org/ 10.4103/0019-5545.104825
- Shidiq, Y.M. & Soleman, S.R. (2023). Penerapan Terapi Dzikir untuk Meningkatkan Kualitas Tidur Pada Lansia di Panti Usia Lanjut ‘Aisyiyah Sumber Surakarta. Jurnal Mahasiswa Ilmu Kesehatan, 1(4), 135–144. https://doi.org/10.59841/jumkes.v1i4.267
- Shittu, R.O, Issa, B.A, Olanrewaju, G.T, et.al. (2014). Association between subjective sleep quality, hypertension, depression and body mass index in a Nigerian family practice setting. J. Sleep Disord, 3(2). https://doi.org/10.4172/2167-0277.1000157.
- Soldatos, C.R., Dikeos, D.G., & Paparrigopoulos, T.J. (2000). Athens Insomnia Scale: validation of an instrument based on ICD-10 criteria. Journal of Psychosomatic Research, 48(6), 555-560. https://doi.org/10.1016/S0022-3999(00)00095-7.
- Sultanpur, M. (2021). Stress level between housewives and employed women. International Education and Research Journal (IERJ), 5(6), 21-24.
- Thahir, A.E. (2018). Psikologi Perkembangan. Aura Publishing
- Utami, L. T., Hartutik, S., & Widodo, P. (2023). Penerapan Terapi Relaksasi Benson terhadap Tingkat Insomnia pada Lansia di Ruang Akar Wangu RSUD Pandan Arang, Boyolali. Jurnal Kesehatan Kartika, 18(2), 67–73. https://doi.org/10.26874/jkkes.v18i2.259
- WHO. (2018). World Health Statistics. 1-86. https://www.who.int/docs/default-source/gho-documents/world-health-statistic-reports/6-june-18108-world-health-statistics-2018.pdf (Diakses 6 Februari 2024)
- WHO. (2023). Hypertension. https://www.who.int/news-room/fact-sheets/detail/hypertension (Diakses 6 Februari 2024)
- Wickham, H. (2023). tidyverse: Easily install and load the 'Tidyverse'. https://CRAN.R-project.org/package=tidyverse
- Wickham, H., Chang, W., Henry, L., Pedersen, T. L., Takahashi, K., Wilke, C., Woo, K., Yutani, H., & Dunnington, D. (2023). ggplot2: Create elegant data visualisations using the grammar of graphics. https://cran.r-project.org/web/packages/ggplot2/index.html
- Wickham, W., François, R., Henry, L., Müller, K., & Vaughan, D. (2023). dplyr: A grammar of data manipulation. https://cran.r-project.org/web/packages/dplyr/index.html
- Widhiyanti, K. A. T., Ariawati, N. W., & Rusdiyanti, N. W. A. (2017). Pemberian back massage durasi 60 menit dan 30 menit meningkatkan kualitas tidur pada mahasiswa VI A penjaskes FPOK PGRI Bali Semester Genap tahun 2016/2017. Journal Pendidikan Lesehatan Rekreasi, 3(1), 1–14.
- Wulandari, E.T., Nasution, R.A., & Sari, Y. (2023). Hubungan kualitas tidur dengan fungsi kognitif lansia di Puskesmas Muara Kumpe. Jurnal Ilmiah Ners Indonesia. https://10.22437/jini.v4i1.25253
- Zeng, LN, Zong, QQ, Yang, Y., Zhang, L., Xiang, Y.F., Ng, C.H., Chen, L.G., & Xiang, Y.T. (2020). Gender difference in the prevalence of insomnia: a meta-analysis of observational studies. Front Psychiatry. https://doi.org/doi: 10.3389/fpsyt.2020.577429